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/ <br /> BACKWATER PREVENTION DEVICE PROGRAM <br /> Our records indicate thal a backwater prevenlion device must be inslailed on your <br /> sewer connechon lo comply with the new ordinance. Please help us verify that our <br /> information is correct by answering the tollowing questions about your property: <br /> Do you have a basemenl? Yes`�l No ❑ <br /> If yes, does il have plumbing fixWres (sink, toilel, floor drain,.etc.)? Yes �No ❑ <br /> Do you have a backwaler valve on your sewer line? Yes ❑ No n Don't Know � <br /> Do you have �� grinder pump in your basement? Yes �1 No � Don't Know � <br /> Name� �/V� _I..J� - -- - — ' <br /> Propertyl ddress /�7��(�J�LlL/`��' -�i-V�� �`J� ��� <br /> 1 <br /> Phone 1�L�,7��?"�� Phone 2: <br /> [mail: ----- --- <br /> � ' i . � � . , <br /> > r •.;�. . <br /> • , , <br /> � � - _.I.1:_ .�:L . _ ,J ... . � ' � �� __ '_ � ��e . _ ..L. .�..., :sL. <br /> { <br />